OBJECTIVES Internal mammary arteries graft failure in coronary artery bypass grafting (CABG) is mostly considered to be a result of competitive flow (CF) from the native coronary artery, which significantly limits future revascularization options. METHODS With the left internal mammary artery (LIMA) anastomosed to the left anterior descending (LAD) coronary artery using an off-pump technique,...

Spontaneous left internal mammary artery (LIMA) dissection is an extremely rare condition. It generally occurs as a complication of interventional manipulation in the early post-operative period. Here we present a case of spontaneous LIMA dissection nine years after surgery seemed to be chronic deforming jetflow secondary to kinking segment of LIMA. Kinking of LIMA usually occurs in the intraop...

outweigh students’ right to an education? The on-going ethical dilemma in Peru Rodrigo M. Carrillo-Larco*, Álvaro Taype-Rondán and Reneé Pereyra-Elı́as Sociedad Cientı́fica de Estudiantes de Medicina Cayetano Heredia (SOCEMCH), Lima, Perú; Sociedad Cientı́fica de Estudiantes de Medicina de la Universidad de San Martı́n de Porres (SOCIEM-USMP), Lima, Perú; Escuela de Medicina, Universidad Peruana de...

Left internal mammary artery (LIMA) is the most commonly used graft during coronary bypass surgery. LIMA side branches are clipped during surgery in order to prevent coronary steal. In cases of patent LIMA side branches, there are differingapproaches. Herein, we report a case with patent thoracic side branch of LIMA graft, occlusion of this side branch by Amplatzer Vascular Plug because of docu...

[email protected] The use of the left internal mammary artery (LIMA) is preferred for the revascularization of a stenosed or occluded left anterior descending artery (LAD). Occlusion or stenosis of proximal part of the left subclavian artery (LSA) could induce reverse blood flow in LIMA called coronary subclavian steal syndrome (CSSS) and should be revascularized before coronary artery bypass ...